성인에서 기관내삽관을 위한 Pipecuronium 일회 정주 적정 용량

최영석,윤석민,임상호,이미경,박영철,류태간 대한마취과학회 1997 Korean Journal of Anesthesiology Vol.33 No.3

Background : Studies in animals suggest that pipecuronium dose not induce hemodynamic chan-ges related to histamine release or to an effect on the autonomic nervous system. Therefore the effects of bolus administration of large doses of pipecuronium, up to 0.20 mg/kg, on the intubation condition, onset and duration of neuromuscular blockade, heart rate and blood pressure were studied during fentanyl- nitrous oxide anesthesia. Method : Forty adults were randomly assigned to receive a bolus injection of either 0.05, 0.10, 0.15, 0.20 mg/kg of pipecuronium. Neuromuscular blockade was measured using mechanomyographic activity of the adductor pollicis muscle after supramaximal stimulation of the ulnar nerve. Four subgroups of 10 patients received pipecuronium doses of 0.05, 0.10, 0.15 and 0.20 mg/kg, respectively, as an intubating dose. Results : The times of onset and clinical duration(mean sem) after each dose were as follows: 0.05 mg/kg, 2.98 0.42 and 41.5 2.42 min; 0.10 mg/kg, 1.54 0.06 and 82.9 7.48 min; 0.15 mg/kg, 1.41 0.14 and 124.8 13.1 min; 0.20 mg/kg, 1.12 0.05 and 187.1 12.8 min. The intubation condition, time of onset and duration after doses of 0.05 mg/kg were significantly different from values after the higer doses. The duration was increased with dose-increments. No dose-related changes in heart rate or blood pressure were observed. Conclusion : The authors conclude that dose of 0.10 mg/kg and over has good intubation condition clinically and large bolus dose of pipecuronium can be safely used with a significantly prolonged duration of action without hemodynamic change. (Korean J Anesthesiol 1997; 33: 453∼457)

한국인에서 혈소판 당단백 Ⅱb/Ⅲa 유전자 다형성과 관동맥 성형술 후 재 협착과의 관계

이민수,이정우,김보영,임대승,강정아,김정희,김윤철,성보영,최성준,성인환,전은석 충남대학교 의과대학 지역사회의학연구소 2000 충남의대잡지 Vol.27 No.2

Platelet aggregation is the final pathway of acute coronary syndrome such as acute myocardial infarction and unstable angina. Platelet glycoprotein IIb/IIIa is a membrane receptor for fibrinogen and yon Willebrand factor and it plays an important role in platelet aggregation and in the pathogenesis of acute coronary syndrome. It is known that polymorphism of the gene that encoding platelet glycoprotein IIb/IIIa(PI^A1/A2) is strongly related to acute coronary syndrome in Caucasian, but not in Koreans. We investigated relationship between platelet glycoprotein llb/Illa gene polymorphism and restenosis of coronary artery after angioplasty in Koreans. Total 371 patients(M=251. F=120) were enrolled. Angioplasty group comprised 143 patients who underwent coronary angioplasty, and in the angioplasty group, restenosis group comprised with the 65 patients who had restenotic lesion over 50% of luminal diameter in follow-up coronary angiography. Normal group comprised 153 patients who had no significant angiographic lesion and variant angina group comprised 75 patients who were positive in ergonovine test. Genomic DNA was extracted from peripheral arterial blood. To determine the frequency of P1^A1/A2 genotype, polymerase chain reaction(PCR) was done and the product was restricted with Mspl. 3%. agarrose gel electrophoresis showed restriction fragment length polymorphism. Clinical profile and risk factor were also reviewed. Among all 371 patients of study group, genotype of only one patients in restenosis group if is proven to be PI^A1/A2 heterozygote. All patients of normal study group, no restenosis group, and the other patients in restenosis group have an PI^A1 homozygote genotype. In our study, platelet glycoprotein IIb/Illa polymorphism has no relationship with restenosis of the coronary artery after angioplasty in Koreans. But the genotypic frequency of platelet glycoprotein IIb/IIIa gene polymorphism in Koreans is concordant with that of previous studies.

복강경 검사로 진단한 결핵성 복막염 1례

박민경,서원석,박재옥,김창휘,고은석,임철완 순천향의학연구소 2004 Journal of Soonchunhyang Medical Science Vol.10 No.2

Tuberculous peritonitis is discovered from sixty to ninty percent of pulmonary tuberculosis patients. Clinical symptoms are nonspecific such as mild fever, weakness and malaise but show tenderness in right lower abdomen and abdominal distension. Diagnosis is confirmed by laparoscopic and pathologic findings. We report a case of tuberculous peritonitis in an 11-year-old boy who was hospitalized because of abdominal distension with pain on right lower abdomen which had developed one day before he came to hospital. Chest X-ray showed pleural effusion on both sides. We did laparoscopic examination and observed diffuse nodular infiltration. In biopsy specimen we observed osseous granuloma and acid-fast bacilli in AFB stain.

관상동맥 스텐트 시술 후의 재협착에 관한 연구

김윤철,이정우,김보영,강정아,임대승,이민수,김정희,성보영,최성준,성인환,전은석 충남대학교 의과대학 지역사회의학연구소 2000 충남의대잡지 Vol.27 No.1

Coronary stent implacement is known as an effective treatment in the intimal dissection after percutaneous transluminal coronary angioplasty and the prevention of restenosis. However, In-stent restenosis still remains a major concern in clinical stenting. The stents were placed in 103 patients from July 1996 to March 1999 and performed follow-up coronary angiograms in 59(57.3%) patients. To identify the clinical, angiographic and procedurerelated variables 'which predict late restenosis within the stented artery, 59 patients(58.3±9.9, M:F= 41:18) were studied. The clinical characteristics of the patients were stable angina in 23(39.0%), unstable angina in 14(23.7%), acute myocardial infarction in 21(35.6%) and old myocardial infarction in 1(1.7%). Coronary stenting was performed in 1 patient(1.7%) for primary lesion, 50 patients(84.7%) for suboptimal results after PTCA, 6 patients(10.2%) for bail-out procedure, and 2 patients(3.4%) for restenotic lesions. All patients were treated with aspirin and ticlopidinc. The follow-up angiograms were obtained at 7±4 months. The overall in-stent restenosis rate was 27.1%. The coronary angiographic findings were 32 single vessel(54.2%), 19 two vessel(32.2%) and 8 three vessel disease(13.6%). The angiographic morphological characteristics were type A in 33(55.9%), type B in 14(23.7%), type C in 12(20. 3%) cases. Variables of 16 patients with restenosis were compared with those of 43 patients without restenosis. Previously known predictors for in-stent restenosis were multiple stenting, stenting for restenotic lesions, residual stenosis after stenting, stenting for total occlusion lesions, reference diameter, balloon to vessel ratio, acute gain and minimal luminal diameter after procedure, design and characteristics of stents, ostial lesion of aorta, high pressure method for stenting, lesion length, diabetes mellitus, size of artheroma, saphenous vein grafts, ulcerlating lesions and calcified lesions. In this study, Reference diameter before stenting(2.43±0.54mm vs. 2.88±0.65mm, p=0.016) and balloon-to-artery ratio(1.28±0.26 vs. 1.11±0.18, p=0.006) were predictors for in-stent restenosis. 1) The overall in-stent restenosis rate was 27.1%. 2) In the analysis of predictors for in-stent restenosis, there was no significant differences in clinical, angiographic factors between group with restenosis and without restenosis. But, Only reference diameter before stenting and balloon-toartery ratio were predictors of late in-stent restenosis. In conclusion, stenting is effective revascularisation method for selected patients with ischemic heart disease, and to minimize in-stent restenosis rate, stent implanting is achieved in a large vessel on the basis of an artery-to-stnet ration of 1:1, if possible.

상대습도 및 저장 온도가 분말녹차의 품질에 미치는 영향

이정민(Jung-Min Lee),임상욱(Sang-Wook Lim),조성환(Sung-Hwan Cho),최성길(Sung-Gil Choi),허호진(Ho-Jin Heo),이승철(Seung-Cheol Lee) 한국식품영양과학회 2009 한국식품영양과학회지 Vol.38 No.1

분말 녹차를 상대습도(23, 69, 81%)와 온도(-20, 4, 20℃)를 달리하여 3달간 저장한 후, 1.5 g에 100 mL을 첨가하여 추출물을 제조하여 총 페놀 함량, 총 플라바놀 함량, 아스코르브산 함량, 카테킨 함량의 변화를 조사하였다. 상대습도 23%, 4℃의 조건에 저장한 경우에서 총 페놀 함량, 총 플라바놀 함량, 아스코르브산 함량이 가장 높았는데 각각 287.1 ㎎/g, 44.9 ㎎/g, 36.9 ㎎/g의 값을 보였다. 이는 저장 초기의 각각의 측정값인 267.5 ㎎/g, 49.4 ㎎/g, 24.2 ㎎/g에 비해 총 페놀과 아스코르브산은 증가하였고, 총 플라바놀 함량은 감소하였다. 카테킨류의 경우에도 상대습도 23%, 4℃에 저장하였을 때 가장 높았는데 주된 카테킨인 EGC와 EGCG는 초기의 16.9와 27.3 ㎎/g에서 3달 후에는 각각 24.3과 36.5 ㎎/g으로 증가하였다. 또한 카페인도 같은 조건에서 초기의 20.7 ㎎/g에서 3달 후에는 30.7 ㎎/g으로 증가하였다. 그러나 상대습도가 높고 온도가 -20℃나 20℃에 저장한 경우에는 상대적으로 각 성분들이 감소하는 경향을 나타내었다. 이러한 결과는 분말 녹차의 상대습도와 저장 온도가 녹차의 품질 보존에 매우 중요하며, 낮은 습도에서 냉장 상태로 저장하는 것이 녹차의 품질 유지에 유리함을 의미한다. After storing green tea powder for three months at three different temperatures (-20, 4, and 20℃) with three different relative humidities (RHs) (23, 69, and 81%), the chemical quality was evaluated with green tea, which was prepared by soaking 1.5 g of the powder into 100 mL of distilled water at 70℃ for 5 min. Total phenolic contents, total flavanol contents, and ascorbic acid contents of green tea powder stored at 4℃ with 23% RH changed from 267.5, 49.4, and 24.2 ㎎/g to 287.1, 44.9, and 36.9 ㎎/g, respectively, compared to the powder before storage. EGC and EGCG, the main catechins of green tea, also changed from 16.9 and 27.3 ㎎/g to 24.3 and 36.5, g/g, respectively, after storage for 3 months at 4℃ with 23% RH. However, when the green tea powder was stored at -20 or 20oC with higher RH such as 69 and 81%, the chemical compounds were significantly decreased. The results indicate that temperature and RH are important during storage of green tea powder, and low RH and refrigerated condition (-4oC) are preferable to increase or preserve the chemical compounds of the tea.

영양상태, 운동상태와 골밀도의 상관관계

김병학,정민훈,조승진,최상철,배경림 한국건강관리협회 1998 건협 Report Vol.1 No.-

식도 평활근종이 동반된 Alport 증후군 1례

정진영,김철민,임연정,김자형,유종우,최보화,홍수종,박영서 대한소아과학회 2002 小兒科 Vol.45 No.9

동적 신장 신티그래피 검사 시 사용되는 Gates 법과 Modified Gates 법의 사구체 여과율 비교에 관한 고찰

함준철,반영각,박민수,조석원,임한상,김재삼,이창호,Ham, Jun-Cheol,Bahn, Young-Kag,Park, Min-Soo,Cho, Seok-Won,Lim, Han-Sang,Kim, Jae-Sam,Lee, Chang-Ho 대한핵의학기술학회 2012 핵의학 기술 Vol.16 No.1

사구체 여과율은 신기능의 평가 및 신 질환의 조기 발견 및 만성 신 질환 환자의 경과 관찰에 중요한 지표가 된다. 본 연구에서는 동적 신장 신티그래피의 Gates법과 Modified Gates법을 채혈을 이용한 MDRD법 공식을 기준으로 그 차이를 비교, 분석하고자 한다. 2010년 11월부터 2011년 8월까지 본원에 내원하여 신장 신티그래피 검사를 시행한 45명의 환자를 대상으로 시행하였다. 이 중 20명의 환자는 AGUS(Philips Medical System, Cleveland, OH, USA) 장비의 Gates법과 MDRD법(Modification of Diet Renal Disease) 공식에 의한 사구체 여과율 값을 비교하였으며, 20명의 환자는 INFINIA (General Electric Healthcare, Wisconsin, MI, USA) 장비의 Modified Gates법과 MDRD법 공식에 의한 사구체 여과율 값을 비교하였다. 마지막으로 경과 관찰 시 MDRD법 공식에 의한 사구체 여과율 변화가 없는 환자 5명을 대상으로 Gates법과 Modified Gates법을 비교하였다. Gates법과 Modified Gates법 모두 MDRD법 공식에 의한 사구체 여과율 값과 높은 상관 관계를 보였으며($p$<0.01, r=0.903, r=0.867), Gates법의 대응 차 평균은 $2.05{\pm}2.54mL/min/1.73m^2$로 나타났고, Modified Gates법의 대응 차 평균은 $25.2{\pm}3.71mL/min/1.73m^2$로 나타났다. 마지막으로 5명의 환자에서 실시된 Gates법과 Modified Gates법의 비교는 높은 상관 관계를 보였으며($p$<0.05, r=0.949), 대응 차 평균은 $20.4{\pm}8.84mL/min/1.73m^2$ 로 나타났다. Gates법과 Modified Gates법 및 MDRD법 공식에 의한 사구체 여과율 값은 서로 높은 상관 관계를 보였다. 동적 신장 신티그래피 검사 시 사용되는 Gates법과 Modified Gates법의 상관 관계를 인지하고 검사를 진행 한다면, 진단능을 향상시켜 정확한 신기능의 평가가 이루어질 것으로 사료된다. Purpose: Glomerular filtration rate is an important index for assessment of renal function, early discovery of renal disease, and progress observation of chronic renal disease patients. In the present study, the objective is to conduct a comparative analysis of differences between Gates and Modified Gates method in dynamic renal scintigraphy based on MDRD (Modification of Diet Renal Disease) formula using blood collection. Materials and Methods: Renal scintigraphy was performed for 45 patients who visited our hospital between November 2010 and August 2011. For 20 patients of those tested, glomerular filtration rates from Gates method and MDRD formula using AGUS equipment, were compared. For the other 20 patients, glomerular filtration rates from Modified Gates method and MDRD formula using INFINIA equipment. Finally, Gates and Modified Gates method were compared for 5 patients who indicated no change in glomerular filtration rates from MDRD formula during progress observation. Results: Glomerular filtration rates from both Gates and Modified Gates method showed a high correlation with those from MDRD formula ($p$<0.01, r=0.903, r=0.867), with a paired difference mean for Gates method of $2.05{\pm}2.54mL/min/1.73m$, and that for Modified Gates method of $25.2{\pm}3.71mL/min/1.73m$. Finally, the values for Gates method and those for Modified Gates method showed a high correlation for the five patients ($p$<0.05, r=0.949), with a paired difference mean of $20.4{\pm}8.84mL/min/1.73m$. Conclusion: Glomerular filtration rates from Gates method, Modified Gates method and MDRD formula showed mutually high correlations. If the tests are performed with recognition for the correlations between Gates and Modified Gates method used in a dynamic renal scintigraphy, then an accurate assessment of renal function is considered possible with an improved diagnostic ability.

고농도 산소 공급량 변화에 따른 남/녀 혈중 산소 포화도의 차이

이정한(Jeong-Han Yi),최미현(Mi Hyun Choi),김지혜(Ji Hye Kim),이수정(Su-Jeong Lee),양재웅(Jae-Woong Yang),정순철(Soon-Cheol Chung),임대운(Dae-Woon Lim),이동형(Dong-Hyung Lee),민병찬(Byung-Chan Min) 한국산업경영시스템학회 2009 한국산업경영시스템학회지 Vol.32 No.4

The purpose of this study was to examine differences between male and female in blood oxygen saturation due to 93% oxygen administration of the three levels (1L/min, 3L/min, 5L/min) Ten healthy male (25 0±1 8 years) and ten female (23 7±1 9 years) college students were selected as the subjects for this study The experiment consisted of three runs, ie, the three levels of 93% oxygen administration, respectively The each run consisted of three phases, ie, Rest 1 (5 min), Hyperoxia (10 min), and Rest 2 (5 min) Blood oxygen saturation sere measured throughout the three phases By increasing the supply rate of highly concentrated oxygen, rising rate of blood oxygen saturation was increased Blood oxygen saturation of female was higher than male regardless of supply rate of highly concentrated oxygen and phases

Electrical and Optical Characteristics in Organic Electroluminescent Devices with Different Materials for Electron Injection

Min-Jeong Cho,Wan-Ji Choi,Min-Su Lim,Cheol-Hyun Park,Jeong-Gu Lee,Kee-Joe Lim,Soo-Gil Park,Hyun-Hoo Kim 대한전기학회 2001 KIEE International Transactions on Electrophysics Vol.11C No.2